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Frequent relapses of herpes: recommendations for treatment. Genital herpes in the practice of a gynecologist A good gynecologist for the treatment of genital herpes recommendations

Genital herpes in the practice of a gynecologist

M. V. Mayorov, Women's consultation of the city clinic No. 5, Kharkov

Such a well-known herpes infection (HI) is widespread in the human population, ranking 3rd in frequency after cardiovascular and oncological pathologies (M. M. Safronova, 1997).

In Greek, herpes means “creeping.” This term was used already in the 1st century. AD Roman doctors who observed herpetic lesions on the lips.

Genital herpes (GG) is one of the most common clinical forms of GI. The first description of its symptoms and course was made by the doctor of the French king more than a long time ago - in 1736!

Diseases of this group are not only markers of quite serious immunodeficiency states and AIDS-indicative diseases, but also the cause of various less frightening diseases of the genital area of both sexes, including impaired fertility in men and termination of pregnancy in women (N.S. Neshkov, 2001, table 1).

Table 1

Frequency of reproductive complications caused by HSV

Spermatogenesis disorders	33-54%
Termination of pregnancy in the early and “ultra-early” stages (the so-called “rejection” of embryos)	50%
Secondary infertility	60%
Non-developing pregnancy	20%
Miscarriage	20%
The onset of premature birth	80%
Immaturity of a newborn child	60%
Intrauterine infection and neonatal mortality	20%
Neonatal respiratory distress syndrome	12%
Development of atypical pneumonia in the first year of life	30%

Among the many variants of herpes viruses (about 80 in total), the subgroup of alpha viruses is of particular importance, which includes the causative agents of genital herpes HSV-1 and HSV-2 (HSV herpes simplex virus, HSV Herpes simplex virus), related to DNA viruses . The role of GI (mainly HSV-2) in the pathogenesis of cervical carcinoma and intraepithelial neoplasia (CIN 1, 2, 3) has been fully proven. HSV-2 promotes oncogenic transformation of the stratified squamous and columnar epithelium of the cervix, causing dysplasia. For malignant degeneration, the constant presence of the virus in the cell is not necessary: it acts according to a “one-hit” mechanism (“hit-and-run”, i.e. “hit and run” (M. M. Safronova, 1997)). The most dangerous combination of HSV-2 with papillomavirus, which contributes to the transition of dysplasia to cancer.

Research by V.V. Isakov et al. (1995) indicates the frequency of contamination of viral infection with chlamydia, mycoplasma, trichomonas, gardnerella, and Candida fungi.

Herpetic infection is one of the main damaging factors for the fetus and newborn, causing an increase in the number of spontaneous abortions, premature births, and the birth of children with pathologies of the central nervous system and internal organs. Infection of a child occurs through vertical transmission, hematogenously, transplacentally, as well as intra- and postnatally. Especially often in the presence of active manifestations of herpes on the skin and mucous membranes of the mother.

Typically, in case of HH, the infectious agent is HSV-2, but in 10-26% of cases, HSV-1 can also be the cause of the disease, which is explained by household and oral-genital routes of infection. The “entry gate” is the skin and mucous membranes of the external genitalia and vagina.

During primary infection, the virus rises from the site of entry along the peripheral nerves to the spinal and cerebral ganglia, and sometimes reaches them due to viremia. Here it remains “sleeping” and is often invulnerable to antiviral attacks. When reactivated, the HH virus migrates for a long time along the peripheral nerves, causing irritation of the nerve endings and, as a result, very characteristic and unpleasant sensations of skin itching and burning. These phenomena usually precede the appearance of vesicular rashes.

Even against the background of high levels of circulating virus-neutralizing antibodies, relapses of HI are possible, since the herpes virus spreads inside the nervous tissue, passing from one cell to another, avoiding contact with antibodies. Thus, functioning virus-neutralizing antibodies do not prevent the development of relapses, although they prevent the spread of infection. According to I. S. Markov (2001), HSV has “amazing pantropism.” Its high affinity for tissues of ectodermal origin is known, and therefore the most common lesions are the skin, mucous membranes, and the central and peripheral nervous system. Damages to vital internal organs, primarily the liver, are due to the virus’ tropism also for tissues of endodermal origin.

This almost universal tropism has led to a significant polymorphism of clinical manifestations, and therefore patients often come to the attention of doctors of various specialties.

Despite the fact that the mechanism of relapses of GI is not completely clear, a number of factors and their combinations that cause exacerbation of latent viral infection are clinically significant: premenstrual and menstrual periods, fatigue, stress (“emotional and physiological imbalance”), excessive ultraviolet radiation during stay exposure to the sun, drafts, excessive cooling, immunodeficiency conditions of both genital and extragenital origin, sexual contact or other irritating mechanical or chemical effects in the area of the external genitalia, intercurrent infection, etc.

The most realistic option to join the host of genital herpes owners is direct contact with infected secretions from an infected patient. And it is not at all necessary that he currently has any painful symptoms!

The incubation period of primary GG ranges from 2 to 12 days (according to some data, from 1 to 26 days), on average 6-7 days. A typical picture of the manifestation of GG is the appearance on the mucous membranes of the genital organs and adjacent areas of the skin of single or multiple vesicular (bubble) elements arising on an erythematous background. After 1-2 days, these blisters open, forming moist, painful erosions, less often ulcers, healing under or without a crust. Women often experience so-called acute edematous-erosive vulvovaginitis (F. Boralevi, M. Geniaux, 1996). Typically, the primary attack of GG is quite severe: general intoxication is pronounced: fever, weakness, headache and muscle pain, dysuric phenomena. Often, with a primary infection, multiple localization of lesions is observed, as well as enlargement and tenderness of the inguinal lymph nodes.

The period of precursors (prodromal phase) is usually observed with recurrent HH, occurs in half of the patients and lasts about 24 hours (with significant variability in the clinical course). If the prodrome is diagnosed early, it may provide an opportunity to initiate treatment earlier, which is more likely to be effective.

The localization of lesions on the genital organs is determined by the entrance gate of infection. In men, manifestations of HS are usually localized on the foreskin, glans and body of the penis, as well as perianally. Female genitalia are affected in the labia, clitoris, perineum, vagina and anus. Damage to the cervix is also possible in the form of diffuse inflammation with erosions, the formation of large isolated ulcers, sometimes even with phenomena of necrosis.

The acute period of primary HH can reach 3-5 weeks, but sometimes the infection proceeds covertly, immediately passing into the latent phase.

Against the background of erythema, the blisters become ulcerated and covered with crusts, usually healing without scars. Neuralgia occurs in approximately a quarter of patients. The positive dynamics in the development of local manifestations is less pronounced in the wet areas of the genitals. Erosion and ulcers localized in these places take much longer to heal than on dry areas of the skin.

Severe pain and tissue destruction may cause urinary retention (usually during the initial attack). More rare complications in the acute stage are herpetic eczema, felon, proctitis, bilateral interstitial pneumonia, hepatitis, erythema multiforme, aseptic meningitis, myelitis, etc.

During relapses of HH, painful symptoms are significantly shorter than during primary attacks. Some studies show that the duration and duration of pain during recurrent HH in women is longer than in men, although there is no clear explanation of the reasons for this “discrimination” yet. But in women the average time for the development of the first relapse is 118 days, and in men 59 days (A.G. Rakhmanova et al., 1996). However, it is impossible to predict what the clinical course of a particular patient will be, since the periods between attacks can vary from days to several years. In rare cases, there are patients with permanent manifestations of this disease.

In clinical practice, asymptomatic HH is often encountered, which is characterized by the absence of clinical manifestations, despite the presence of the virus in the body. This form is of greatest epidemiological importance, since patients with asymptomatic HH are most often a source of infection of sexual partners, and pregnant women are a source of infection of the fetus and child.

Diagnosis of manifest forms of HI, which occurs with typical vesicular rashes, is usually simple. Of the laboratory research methods, the most informative is the virological method, the material for which is the contents of vesicles, scrapings from the bottom of erosions, the mucous membrane of the urethra, vaginal walls, ectocervix, and cervical canal. In recent years, the immunofluorescent method has been widely used. A smear is considered positive if it contains at least 3 morphologically altered epithelial cells with intense specific fluorescence and localization typical of HSV in the nucleus or nucleus and cytoplasm at the same time. Of the serological methods, the RSK (complement fixation reaction) is most often used. The essence of the method is to identify specific antibodies to HSV: during primary infection in the acute stage of the disease, the presence of antibodies is not typical; During the convalescence stage, a certain titer of antiherpetic antibodies must be present in the blood serum. When herpes recurs, the antibody titer increases 4 or more times.

An important role for diagnosing the stage of herpes infection is the determination of the classes Ig M, Ig A, Ig G of antiviral antibodies detected by enzyme-linked immunosorbent assay (ELISA). Detection of Ig M class antibodies is a sign of primary infection or exacerbation of a latent infection.

The cytological method of studying pathological material has a certain diagnostic value, but it does not allow differentiating the type of HSV and primary infection from recurrent ones. The extended colposcopy method is simple, economical and informative as a diagnostic screening method, as well as for monitoring the effectiveness of therapy and establishing a cure criterion (M. M. Safronova et al., 1996).

To detect the herpes virus, modern molecular biological methods are also used: polymerase chain reaction (PCR) and molecular DNA DNA hybridization reactions.

Treatment of HS is challenging. The following goals can be distinguished in treatment tactics: 1) reduce the severity or reduce the duration of symptoms such as itching, pain, fever and lymphadenopathy; 2) shorten the period of complete healing of lesions; 3) reduce the duration and severity of virus excretion in affected areas; 4) reduce the frequency and severity of relapses; 5) eliminate the infection to prevent relapses.

Taking into account the biological characteristics of GI, local treatment can achieve only the first three goals. Systemic therapy is required to achieve all five treatment goals.

A.F. Barinsky, 1986, V.A. Isakov et al., 1991 recommend treatment and prevention of HS, taking into account three phases during an exacerbation (relapse) of the disease: 1) acute stage of infection (or relapse); 2) stage of resolution (or subsidence of relapse); 3) remission (or inter-relapse period. The proposed treatment system includes the use of etiotropic and immunocorrective drugs and can, if necessary, be supplemented and improved with new drugs of various classes and pharmacological groups.

Stage 1. Acyclovir and other so-called abnormal nucleotides (Zovirax, Herpevir, Virolex, Medovir, Lovir) are currently the drugs of choice for the treatment of acute and recurrent forms of HH. The drugs have a powerful etiotropic effect, inhibiting viral DNA polymerase and activating only inside infected cells. Acyclovir is prescribed at a dose of 200 mg 5 (five) times a day for 5 days (course dose 5.0). In patients with primary acute herpetic infection and in patients with manifestations of GI on the background of immunodeficiency states of various etiologies, the course dose should be doubled (taken for 10 days). The use of valacyclovir (Valtrex) is effective, which is used at a dose of 500 mg 2 times a day for 5-10 days. In severe cases, the following is administered intravenously: Zovirax 1000 mg/day for 10 days; acyclovir 5 mg/kg every 8 hours (in a hospital setting).

It is necessary to carry out local treatment at the same time: apply 5% acyclovir cream (or its analogues) to the affected areas at least 5-6 times a day for 7-10 days. Other ointments can be used: tebrofen 2-3%, bonafton 0.25-0.5%, florenal, interferon, helepin, 2-5% megasyn and alpizarin ointments, cycloferon liniment 5%, etc. One should be careful against the use of corticosteroids ointments that cause increased viral replication.

If there are indications (prevention or treatment of secondary infection with banal microflora), appropriate antibacterial therapy is used. The use of antioxidants, adaptogens (vitamins C, E, Eleutherococcus, etc.), interferon inducers (neovir, reaferon, laferon, cycloferon, amixin, amizon) is pathogenetically justified. In the case of a pronounced exudative component, prostaglandin inhibitors (indomethacin, ibuprofen, etc.) and antihistamines are used. Herbal medicines with pronounced antiherpetic activity are of particular interest. (L.V. Pogorelskaya et al., 1998): Amur velvet, warty birch, Canadian desmodium, pinnate Kalanchoe, calendula, yellow kopeck, common juniper, buckthorn, Scots pine, western thuja, twig eucalyptus, etc.

Stage 2 therapy in the remission phase, after the main clinical manifestations of HH have subsided (conditionally after the crusts of the vesicular rash have fallen off). The main goal of treatment is to prepare the patient (with a history of frequent relapses) for vaccine therapy. Compliance with the work and rest regime, good nutrition, and sanitation of chronic foci of infection are indicated. It is very advisable to use immunomodulators (isoprinosine, tactivin, thymalin, splenin, levamisole, dibazole, etc.), adaptogens, and multivitamins.

Stage 3 specific prevention of relapses of HH using herpetic vaccines (live, inactivated, recombinant). The purpose of vaccination is to activate the cellular immune response, immunocorrection and hyposensitization of the body. The following drugs are also currently used as immunocorrective therapy for herpetic infections: leukinferon, imunofan, lykopid, galavit, tamerit, polyoxidonium, roncoleukin and other drugs.

At the 2nd and 3rd stages of treatment for GG, adequate therapy for concomitant urogenital infection is necessary. Treatment should begin only after an appropriate examination to identify the maximum possible “range” of pathogens, and etiotropic antibacterial therapy should be carried out only after determining the sensitivity of the isolated flora to the intended drug. During the treatment period, barrier contraception must be used.

In accordance with international recommendations (L. Corey, A. Simmons, IHMF, 1999), there are two options for antiviral therapy for genital herpes: 1) episodic (used immediately after detection of relapses); 2) suppressive or preventive (long-term intermittent use of drugs to prevent reactivation of the virus, therefore, relapses).

Herpetic infection can acquire extremely severe forms if it occurs against the background of immunodeficiency conditions, which include pregnancy. Despite the fact that infection of a newborn with HSV-2 from the mother occurs quite rarely (on average 1:5000 births), the severity of manifestations of neonatal herpes and the unfavorable prognosis for the newborn make this problem quite urgent. There is a fairly significant connection between recurrent HI and the genesis of the development in pregnant women of such a very serious complication as antiphospholipid syndrome (APS). According to various authors, APS in chronic viral infection occurs in 20-51.5% of cases. Most often (85%) infection of a newborn occurs intrapartum (during the passage of the birth canal), regardless of the presence at that moment of foci of infection in the cervix or vulva (for example, with asymptomatic virus shedding).

Table 2 presents the four most typical clinical situations from the point of view of the development of neonatal herpes, and possible preventive measures for them.

Table 2

Maternal genital herpes and neonatal infection
(Blanchier H. et al., 1994)

Clinical situation	Frequency of HH in mothers with an infected newborn	Risk of developing neonatal herpes	Recommendations for the management of pregnancy and childbirth
Primary HSV infection during pregnancy (one month before birth)	Rarely	++++ about 70%	C-section Acyclovir 0.2 5 times a day for 5-10 days
Relapse of HS (several days before birth)	+	++ 2-5%	C-section Acyclovir
History of HS in the pregnant woman or partner	++	+ 0,1%	Culture studies before birth. Vaginal delivery with disinfection of the birth canal with betadine. In newborns, taking swabs from the conjunctiva and nasopharynx 24-36 hours after birth
No manifestations of genital herpes	+++ 2/3 of cases of neonatal herpes (70%)	+ 0,01%	No action other than STD prevention

V. N. Serov et al. (1999) recommends the use of normal human immunoglobulin for intravenous administration to treat recurrent HI in pregnant women and prevent the development of intrauterine infection. The drug is administered intravenously at 25 ml (1.25 g) every other day 3 times in the 1st and 2nd trimesters of pregnancy, as well as 10-14 days before the expected due date. There are also recommendations for the use of Viferon suppositories in pregnant women (150,000 IU of interferon in 1 suppository).

But even in this case, in approximately 10% of cases, it is not possible to prevent herpes viral infection in newborns. Therefore, all pregnant women with risk factors for HI should be recommended a precautionary measure to prevent sexually transmitted diseases - the use of a condom, especially in the last 2 months of pregnancy.

As is clear from the above, successful and effective treatment of urogenital herpes is a very difficult task.

But, as you know, “Hominis est propria veri inquisitio atque investigatio” (“Human nature is to search and find the truth”). Hence, “Labor et patientia omnia vincunt” (“Labor and patience conquer all”).

Literature

Barinsky I.F., Shubladze A.K., Kasparov A.A., Grebenyuk V.N. Herpes: etiology, diagnosis, treatment. M., 1986.
Bodyazhina V.I., Smetnik V.P., Tumilovich L.G. Non-operative gynecology, Moscow, Medicine, 1990.
Isakov V. A., Aspel Yu. V. Immunopathogenesis and treatment of genital herpes and chlamydia, Novgorod St. Petersburg, 1999.
Keith L. G. (ed.) Reproductive Health, trans. from English, Moscow, Medicine, 1988.
Lvov N.D., Samoilovich E.O. Combination therapy of herpes viral infection // Questions of Virology, 1992, No. 1, p. 8-10.
Mavrov I. I. Herpes viral infection, Kharkov, 1998.
Mayorov M.V. Antiphospholipid syndrome and obstetric pathology: diagnosis and treatment // Pharmacist, 2002, No. 2, January, p. 33-35.
Makatsaria A.D., Dolgushina N.V. Herpes and antiphospholipid syndrome in pregnant women // Obstetrics and Gynecology (Moscow), 2001, No. 5, pp. 53-56.
Malevich K. I., Rusakevich P. S. Treatment and rehabilitation for gynecological diseases, Minsk, Higher School, 1994.
Markov I. S. Combination therapy for chronic recurrent herpetic (HSV) infection // Women's Health, 2001, No. 3 (7), pp. 57-66.
Marchenko L. A. Genital herpetic infection in women (clinic, diagnosis, treatment); dis. ...Dr. med. nauk. M., 1997.
Neshkov N. S. Genital herpes and reproductive function // Women’s Health, No. 2(6), 2001, p. 102-106.
Safronova M. M. Principles of diagnosis and treatment of genital herpes // Aqua Vitae, No. 1, 1997.
Semenova T. B., Fedorov S. M. Jumigo P. A., Michurina E. A. Treatment of recurrent herpes // Bulletin of Dermatology, 1991, No. 2, p. 67-68.
Blanchier H., Huraux-Rendu Ch. Genital herpes and pregnancy preventive measures. Eur. J. Obstet. Gynaecol. Reproduct. Biology 1994; 53:33-8.
Boralevi F., Geniaux M. Herpes genital // La Revue du Praticien, 1996; 46:1952-1960.
Herpes Global Challenge. Pingiwood, 1992.
Zarling J. M. Human Herpesvirus Infection: Pathogen., Diagnosis, Treatment. New York, 1986. p. 103-114.

Probably each of us has encountered such a phenomenon as herpes in our lives. Of course, the disease is extremely unpleasant; it manifests itself in the form of a rash of watery blisters on the lips or in the genital area. A rash can instantly ruin all plans for the next week, because it significantly spoils the appearance and causes a lot of discomfort. The disease is often called a cold on the lip. Why does the disease appear, why relapses can occur and how to deal with them, read on.

Herpes vulgaris

This disease is classified as a viral infection. Like all viruses, the disease is extremely aggressive and is accompanied by specific symptoms. Once the virus enters the human body, it integrates into the cell structure and begins to multiply along with cell division. The disease is dangerous during pregnancy, as it can infect the fetus. The disease is transmitted through household, airborne and sexual contact. The virus can also enter the body through an infected blood transfusion.

The disease most often affects the mucous membranes of a person; a rash can appear on the lips, in the oral cavity, and on the genitals. Less commonly, manifestations of the disease can be seen on the chest in the form of small watery blisters. Without appropriate treatment, the acute phase of the disease can last up to 21 days. In this case, symptoms such as itching, burning, and pain are expressed.

Not everyone knows that a disease such as chickenpox, which most often manifests itself in childhood, is also caused by the penetration of a certain type of herpes virus. However, this virus is not so aggressive and the immune system, having developed protective antibodies, prevents re-infection with this disease. When the rash is localized in the oral cavity, in order to prescribe the correct treatment, it is necessary to exclude the diagnosis of stomatitis. To do this, experts use several diagnostic methods, among which are studies of the contents of the bubbles and scraping from the site of erosion. As a result of the tests, the diagnosis of the virus is confirmed if there are multinucleated cells in the biological material.

Today, experts distinguish three types of the virus:

Cytomegalovirus. Particularly dangerous for pregnant women. Capable of infecting the fetus by penetrating the placenta. Often with this disease, pregnancy ends in premature birth. Without proper treatment, the fetus may be stillborn. This type of disease is extremely rare, but do not neglect to immediately go to the clinic at the first signs of the disease.
Epstein-Barr. The virus masterfully disguises itself as a sore throat. The course of the disease is acute with high body temperature, chills, and sore throat. It is spread mainly through household means. Characterized by rashes of blisters on the tonsils. Identified during examination of the patient.
Zoster. The most common type of virus. It is this form of the disease that is characterized by rashes on the lips. The virus can also cause genital herpes.

Many people know that having appeared once, the disease can recur with enviable regularity. Frequent manifestations of the disease are a reason to consult an immunologist.

Treatment of the disease depends on the type of virus, and mainly consists of taking antiviral and immunostimulating drugs for local and internal use.

Chronic herpes

The disease develops against the background of a weakening of the body's protective functions. The virus, having penetrated the cells once, continues to live and develop, causing relapses and affecting internal organs and manifests itself as periodic rashes on the mucous membranes. The trigger for the activation of the virus can be any factor that reduces immunity, such as climate change, hypothermia, respiratory disease, diet, menstruation or pregnancy.

The course of a chronic disease is characterized by less pronounced symptoms; the frequency of manifestations can be up to several times a year. Despite its apparent harmlessness, the chronic form of the disease is extremely dangerous and can last for years in the patient.

The most common form of this chronic disease is genital herpes. The disease is characterized by frequent watery rashes on the genitals. It is transmitted through sexual contact and through the use of common household items (towels, washcloths, etc.) and you can also become infected with the virus when visiting public baths and toilets. The danger of the disease lies in the more complex, with each subsequent time, treatment.

There are three types of genital herpes:

Arrhythmic. This type of disease course is characterized by uncontrolled relapses of the disease. The main feature of the type is considered to be more pronounced rashes after a long remission. The disease is acute and requires special treatment, which involves complete restoration of the immune system in several stages.
Monotone. The course of the disease in this type is characterized by frequent manifestations as a result of even minor hypothermia. In women, the genital type of the disease can occur during each menstruation. This type of disease is difficult to treat and requires an integrated approach and a full examination. If traditional treatment is ineffective, consultation with an immunologist is necessary.
Fading. This type of disease course is the most optimistic. Over time, with this type, the rest period has an increasingly longer duration, and the symptoms are less severe each time. With proper treatment, experts predict a complete recovery.

Manifestations of symptoms of genital herpes

Genital herpes can vary in severity depending on the form of the disease. At the primary stage of the disease, all symptoms are pronounced and often frightening.

The genital type of the disease begins with a sharp increase in temperature to 38.5 degrees, weakness and general malaise.
Next, the temperature is accompanied by itching in the genital area, where subsequently, after 1-2 days, watery blisters appear that are painful to the touch.
After the blisters open, crusts form in their place, which fall off as the wound heals.

People often confuse the primary stage of the disease with sexually transmitted diseases. At the first symptoms of the disease, you should immediately consult a doctor. Only a doctor can make the correct diagnosis and prescribe adequate treatment. Self-medication threatens the transition of the disease to the chronic stage.

The chronic form of the disease manifests itself less severely, the patient does not have a fever, the rashes are not as extensive and heal much faster. This type of disease is more dangerous. As a result of mild symptoms, many people do not seek necessary treatment and continue to infect their sexual partners. Despite its apparent safety, the disease often results in serious complications.

The genital type of the disease is especially dangerous for pregnant women, since during childbirth the mother can infect the newborn.

In addition to the sexual route of spread, the genital species can be transmitted through household means, through the use of shared hygiene products, clothes or bedding.

How to cope with a chronic illness

Due to the fact that the chronic form of the disease develops against the background of a weakening of the body’s protective properties, it is first necessary to pay attention to increasing immunity. Experts note that in order to restore immune protection, it is first necessary to lead a healthy lifestyle. Raising immunity helps:

Regular exercise;
Complete nutrition rich in vitamins;
Quitting bad habits;
Healthy sleep;
Hardening procedures;
Daily walks in the fresh air;
Active recreation.

In case of rashes, antiviral drugs should be used immediately. To prevent recurrences when diagnosed with genital herpes, you can also use folk remedies, but before using them, you need to consult a specialist.

Traditional medicine will reduce the frequency of relapses in herpes

Traditional medicine recipes for the treatment of chronic genital rash involve the use of various mixtures and decoctions high in vitamins and microelements.

To strengthen the immune system, such decoctions as decoction of rose hips, hawthorn, leaves and fruits of raspberries, currants, nettles, chamomile, and St. John's wort are excellent.

Also, to prevent relapses of the disease, you need to eat honey, nuts, lemons, garlic, horseradish and other biologically active components that help our body fight various diseases and strengthen the body's protective functions.
To quickly get rid of blisters on the lips, you can use the following remedy: at the first symptoms, you need to take a tablet of acetylsalicylic acid, moisten it with water and apply it to the blister on the lip for 5 minutes. After this, do not wipe off the remaining tablets and do not wet the affected area. This recipe from traditional healers will quickly relieve you of a cold on your lip.

Sometimes doctors recommend moistening the affected area of the rash, but after that you need to dry it. This can be done with a terry towel or, as a last resort, a hairdryer. This is done to relieve itching, pain and discomfort during a herpes outbreak.
Try to keep blisters clean. It is believed that well-groomed areas of skin heal faster.
During an exacerbation, wear loose, breathable clothing. This could be cotton pajamas or other loose clothing. Remember, wearing synthetic, tight clothes will aggravate the disease.
If the pain is unbearable, consult your doctor and he will prescribe you a local antiseptic that relieves pain in a localized area.

Medicines for relapses

In pharmacy chains you can find a huge variety of drugs that can cope with both the external manifestations of the disease and overcome the disease from the inside. Today, doctors most often prescribe drugs that include acyclovir and Zovirax. These drugs have an antiviral effect and provide reliable protection of the body from the spread of viral infection. Also, drugs can be prescribed to prevent the disease through direct contact with an infected person.

Depending on the stage and form of the disease, it is necessary to select individual treatment. This is especially true in chronic forms of the disease. Such treatment can only be prescribed by an experienced specialist, taking into account a comprehensive examination of the rash, biological tests and medical history.
Typically treatment occurs in several stages:

Suppressing external signs of the disease with the help of special ointments and creams.
Suppressing internal signs of the disease by taking antiviral drugs that block the growth of viral cells.
Restoring the body's protective functions by activating the immune system with the help of vitamins and immunostimulating drugs.

Vaccination against the virus

Vaccination against this virus is not common in our country, but a vaccine exists. Most often, it is recommended to vaccinate patients with a chronic form of the disease during a lull in the disease. The vaccine helps produce the necessary antibodies and strengthens the body's defenses.

Genital herpes is a common viral disease nowadays. Statistics say that 90% of the world's population are carriers of HSV, and 20% of them have clinical symptoms.

A condom will not protect you from genital herpes

The cause of this common disease is infection with the herpes virus, which occurs through sexual contact. Caused by two types of herpes simplex viruses: HSV type 1 and HSV type 2. In 80% of cases, the causative agent of the disease is herpes simplex virus type 2. The remaining 20% of the incidence is associated with HSV type 1, which most often causes rashes on the lips.

When the virus enters the body of a healthy person, it invades nerve cells and integrates into their genetic apparatus, remaining in the body for life. According to statistics, the level of herpes infection of all people living on the planet is 90%.

A healthy immune system produces special antibodies and suppresses the clinical manifestations of the disease. Most infected people can live their entire lives without showing symptoms, being carriers and infecting others.

Activation of the virus occurs when the following risk factors occur:

vitamin deficiency;
decreased immunity;
stress on the nervous system;
violation of work and rest schedules;
presence of sexually transmitted diseases;
pregnancy.

The presence of the above factors can cause an active phase, which will manifest itself with symptoms.

Transmission routes

transmission route

Treatment is based on. The main task is to reduce the unpleasant manifestations of the disease. Genital herpes can be treated at home only under the supervision of a doctor.

The success of therapy depends on the phase of the disease. When discussing how to quickly cure genital herpes and get rid of accompanying symptoms, you need to understand that earlier treatment will lead to a quick recovery.

If relapses occur more than 5 times per year, special preventive therapy is necessary. This is a long-term event that will significantly support the immune system and reduce the frequency of relapses.

This is done very carefully to avoid harm to the fetus. A more gentle therapy is used, which is strictly controlled by the attending physician.

Medicines

The main drugs used in traditional medicine in the treatment of genital herpes:

Acyclovir;
Famciclovir;
Penciclovir;
Valaciclovir.

They are produced in a variety of release forms, such as ointments, injections, creams. taken orally up to 5 times a day for 7 – 10 days. When using the drug Famciclovir, side effects such as headaches and allergic reactions are less common.

Interferon drugs, which include Arbidol and Amiksin, speed up recovery and lengthen the period between relapses. No less important in stimulating the functioning of the immune system is maintaining a healthy lifestyle and a positive psychological background for the patient.

To get rid of skin rashes, ointments are used, which are applied to the affected areas 5-6 times a day. For example, a well-proven remedy is Poludon ointment.

As a rule, the doctor prescribes a set of therapeutic measures consisting of tablets and ointments.

An important addition is taking vitamin complexes such as Vitrum, Complivit and others.

Of course, the treatment of such an insidious disease requires a pharmacological approach using specifically targeted drugs. However, the use of baths with essential oils of lemon or tea tree is not only not prohibited by medicine, but is even considered useful in alleviating the symptoms of the disease.

With all the variety of effective remedies, an infected person should remember that only a doctor can prescribe treatment.

When should you resort to treatment and which doctor should you contact?

The diagnosis of “genital herpes” is made by a doctor based on examination, as they are obvious. If you notice accompanying symptoms, you should immediately consult a doctor. The diagnosis and treatment of this disease is carried out by highly specialized doctors:

dermatovenerologist;
gynecologist;
urologist.

In case of erased symptoms and infectious processes, the doctor prescribes laboratory tests. But such diagnostics rarely reveal disease activity and duration of infection due to its widespread prevalence among the population. Therefore, for an accurate diagnosis, a number of measures are carried out:

1. Identify the nature of the rash on the mucous membranes of the genital organs;
2.A history of herpetic rash;
3. State of the immune system;
4. Test results - PCR, antibodies to herpes virus types 1 and 2.

Only a specialist can identify the disease and prescribe appropriate treatment.

With timely detection of genital herpes at the initial stage, there is a possibility of its cure with the help of modern effective pharmaceuticals. In advanced forms, immune support and drug therapy are required to alleviate symptoms. To prevent infection, it is necessary to use personal protective equipment and carefully observe hygiene.

Who said that curing herpes is difficult?

Do you suffer from itching and burning in the areas of the rash?
The sight of blisters does not at all add to your self-confidence...
And it’s somehow embarrassing, especially if you suffer from genital herpes...
And for some reason, ointments and medications recommended by doctors are not effective in your case...
In addition, constant relapses have already become a part of your life...
And now you are ready to take advantage of any opportunity that will help you get rid of herpes!

There is an effective remedy for herpes. and find out how Elena Makarenko cured herself of genital herpes in 3 days!